HESI RN PHARMACOLOGY
TEST BANK
(NGN-Style Questions & Case Scenarios)
400+ Qs & Ans to Pass the Exam
This hesi test contains:
passing score Guarantee
400+ Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next Generation
NCLEX (NGN) and Case studies questions
Expert-Verified Explanations & Solutions
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QUESTION 1 (NGN-Style: Pre-Administration Assessment)
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Before administering a laxative to a bedfast (bedridden) client, it is most important for
the nurse to perform which assessment?
A. Observe the skin integrity of the client's rectal and sacral areas
B. Assess the client's strength in moving and turning in the bed
C. Evaluate the client's ability to recognize the urge to defecate
D. Determine the frequency and consistency of bowel movements
Answer: D
Expert-Verified Explanation:
• Before giving a laxative, the nurse must ensure the client is not already experiencing
diarrhea or frequent loose stools.
• If the client’s bowel movements are already frequent or watery, administering a
laxative could exacerbate fluid and electrolyte imbalances.
,• While checking skin integrity, assessing strength, and evaluating recognition of urge
are also appropriate assessments, they are lower priority when weighing whether or
not to administer a laxative.
• By determining the frequency and consistency of bowel movements first, the nurse
gathers critical information to decide if giving a laxative is safe or if it should be held.
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QUESTION 2 (Case Study: Herbal Supplement Teaching)
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A female client with multiple sclerosis reports having decreased fatigue and improved
memory since she began using the herbal supplement ginkgo biloba. Which
information is most important for the nurse to include in the teaching plan for this
client?
A. Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
B. Nausea and diarrhea can occur when using this supplement
C. Anxiety and headaches increase with use of ginkgo
D. Ginkgo biloba use should be limited and not taken during pregnancy
Answer: A
, Expert-Verified Explanation:
• Ginkgo biloba has blood-thinning properties and can increase bleeding risk,
especially when combined with aspirin or NSAIDs.
• Nausea, diarrhea, anxiety, and headaches may be side effects, but the potential for
serious bleeding poses a higher clinical priority.
• While pregnancy precautions (D) are also relevant, the most critical immediate
teaching is about dangerous interactions with anticoagulants, aspirin, or NSAIDs.
QUESTION 3 (NGN-Style: Combination Therapy)
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In explaining the benefits of the combination anti-infective drug co-trimoxazole (TMP-
SMZ, e.g., Bactrim) to a client receiving the medication for a urinary tract infection,
which rationale is most accurate?
A. Each drug could cause damage to the kidneys if taken separately.
B. One drug reduces the risk of side effects caused by the other.
C. While one drug provides relief, the other fights the infection.
D. The two drugs work together to reduce resistance of the bacterial infection.
Answer: D
TEST BANK
(NGN-Style Questions & Case Scenarios)
400+ Qs & Ans to Pass the Exam
This hesi test contains:
passing score Guarantee
400+ Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next Generation
NCLEX (NGN) and Case studies questions
Expert-Verified Explanations & Solutions
,───────────────────────────────────────────────────────
──
QUESTION 1 (NGN-Style: Pre-Administration Assessment)
───────────────────────────────────────────────────────
──
Before administering a laxative to a bedfast (bedridden) client, it is most important for
the nurse to perform which assessment?
A. Observe the skin integrity of the client's rectal and sacral areas
B. Assess the client's strength in moving and turning in the bed
C. Evaluate the client's ability to recognize the urge to defecate
D. Determine the frequency and consistency of bowel movements
Answer: D
Expert-Verified Explanation:
• Before giving a laxative, the nurse must ensure the client is not already experiencing
diarrhea or frequent loose stools.
• If the client’s bowel movements are already frequent or watery, administering a
laxative could exacerbate fluid and electrolyte imbalances.
,• While checking skin integrity, assessing strength, and evaluating recognition of urge
are also appropriate assessments, they are lower priority when weighing whether or
not to administer a laxative.
• By determining the frequency and consistency of bowel movements first, the nurse
gathers critical information to decide if giving a laxative is safe or if it should be held.
───────────────────────────────────────────────────────
──
QUESTION 2 (Case Study: Herbal Supplement Teaching)
───────────────────────────────────────────────────────
──
A female client with multiple sclerosis reports having decreased fatigue and improved
memory since she began using the herbal supplement ginkgo biloba. Which
information is most important for the nurse to include in the teaching plan for this
client?
A. Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
B. Nausea and diarrhea can occur when using this supplement
C. Anxiety and headaches increase with use of ginkgo
D. Ginkgo biloba use should be limited and not taken during pregnancy
Answer: A
, Expert-Verified Explanation:
• Ginkgo biloba has blood-thinning properties and can increase bleeding risk,
especially when combined with aspirin or NSAIDs.
• Nausea, diarrhea, anxiety, and headaches may be side effects, but the potential for
serious bleeding poses a higher clinical priority.
• While pregnancy precautions (D) are also relevant, the most critical immediate
teaching is about dangerous interactions with anticoagulants, aspirin, or NSAIDs.
QUESTION 3 (NGN-Style: Combination Therapy)
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In explaining the benefits of the combination anti-infective drug co-trimoxazole (TMP-
SMZ, e.g., Bactrim) to a client receiving the medication for a urinary tract infection,
which rationale is most accurate?
A. Each drug could cause damage to the kidneys if taken separately.
B. One drug reduces the risk of side effects caused by the other.
C. While one drug provides relief, the other fights the infection.
D. The two drugs work together to reduce resistance of the bacterial infection.
Answer: D
